Under limited supervision, acts as highest level individual contributor directly reviewing primary and excess Financial Institutions and Management Liability claims to determine nature of loss, coverage provided, and scope of claim and to make recommendations regarding settlement/disposition of clai...
A company is looking for an Auto Field Claims Adjuster in Idaho, ID, USA. ...
Remote CA - Must be in California** Position Purpose: The Delegation Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity audits using established audit tools for assigned lines of business. Responsible for managing the audit pro...
A company is looking for a Senior Claims Examiner. ...
Remote CA - Must be in California** Position Purpose: The Delegation Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity audits using established audit tools for assigned lines of business. Responsible for managing the audit pro...
A company is looking for an Associate in Claims Account Services. ...
A Hospital Claims Auditor is responsible for the overall quality of claims processes as well as compliance, in accordance with outside regulations and the contractual obligations of the Health Plans and/or Hospital Clients. Research, reviews and contacts provider services for problem claims and issu...
Are you passionate about supporting mental health? Do you have an eye for detail and love solving complex billing challenges? We are seeking a proactive and organized Claims Analyst to be a part of our expanding team at Soultenders! Dive into a rewarding role, contribute to our mission, and make a d...
Process claims information into the computerized claims adjudication system. Maintain all required documentation of claims processed and claims on hand. Responsible for accurate review and input of claims in accordance with outside regulation, internal production standards and contractual obligation...
This role is responsible for designing, developing, and implementing projects and initiatives within a subset of a field discipline that aligns with claims strategic direction and supports strategic goals. Candidates preferably have California homeowners claims experience along with 5+ years of lead...
Job Title: Claims Adjuster - Workers Compensation. Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's responsibility for lost wages, medical benefits, and permanent impairment. Workers Compensation handlin...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. Provider ...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Develop a plan of action for assigned claims and update the claims file following all material changes in st...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Under the direction of the Claims Manager, is responsible for the overall work product of a claims unit comprised of Claims Specialists who manage assigned inventories of claim files. The unit also includes Claims Assistants who are responsible for providing clerical support to the Claims Specialist...
The Delegation Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity audits using established audit tools for assigned lines of business. Responsible for managing the audit process from scheduling, conducting the audit, developing ...
Managing assigned claims across multiple jurisdictions, as well as setting the case strategy for these claims in partnership with Regional Practice Leaders and Claims management. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. A...
Claims Adjuster - Workers Compensation experience handling California Claims. Claims Adjuster - Workers Compensation experience handling California Claims. Job Title: Claims Adjuster - Workers Compensation. The main function of a Claims Adjuster is to investigate, analyze, and determine the extent t...
As the Claims Manager, you will have a unique opportunity to assist in establishing and developing our claims department. Claims Department Development: Collaborate with the President and other stakeholders to establish and refine the claims department's structure, policies, and procedures. Team and...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
Process claims based upon the provider’s contract/agreements or pricing agreements, applicable regulatory legislation, claims processing guidelines and NMM policies and procedures. We are currently seeking a highly motivated Claims Examiner. This role will report to the Claims Supervisor and enable ...
Reporting to the Team Leader, the Claims Adjuster, Auto is responsible for providing a consistently high level of service by investigating insurance claims for insurers or third parties and negotiating settlement of the claims to the satisfaction of all parties. Manages comprehensive desktop investi...
Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. To analyze mid- and higher-level general liability claims to determine ben...